1. Home
  2. Directory
  3. Florida
  4. Orlando
  5. Family Medicine
  6. NPI Profile

DR. EDWARD A JACKSON M.D.
NPI 1639104029
Family Medicine in Orlando, FL

Active since July 12, 2006PECOS Enrolled
78.01/100
CMS Quality Rating
7975 LAKE UNDERHILL RD STE 200, ORLANDO, FL 32822(407) 303-6830(407) 303-8659 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 15, 2017 (2 updates tracked since 2017).

About Dr. Edward A Jackson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD A JACKSON M.D. (NPI 1639104029) is an individual family medicine provider in Orlando, Florida, licensed in Florida (ME129390) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639104029
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWARD A JACKSONCredential: M.D.
Location Address7975 LAKE UNDERHILL RD STE 200Orlando, FL 32822-8204
Mailing Address7975 Lake Underhill Rd Ste 200Orlando, FL 32822-8204 · (407) 303-6830 · Fax (407) 303-8659
Phone(407) 303-6830
Fax(407) 303-8659
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1639104029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME129390✔ Licensed in MI · 4301046128
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7975 LAKE UNDERHILL RD STE 200, Orlando, FL 32822
Open in Google Maps ↗

Other Identifiers 12

Other0G37620004MI · Railroad Medicare
Other381870664MI · Private Healthcare Syste
Other381870664MI · Health Care Alliance Pool
Other381870664MI · Priority Health
Other101977MI · Great Lakes Health Plan
Other381870664112MI · Community Choice Michigan
Other0730985MI · Bcbsm Pin
Other381870664MI · Ppom
Medicaid1639104029MI
Other4045995MI · Aetna
OtherEJ046128MI · License
Other080G376200MI · Bcbsm Group Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward A Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edward Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medical Group Inc
5.3 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$31.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE MARIE GALLAGHER DO
Family Medicine
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-6830
DR. MARTIN TORRENTS D.O., MPH
Family Medicine
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (347) 331-6533
DR. OLIVER KENNETH BAYOUTH III DO
Student in an Organized Health Care Education/Training Program
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-6830
JAY FELDMAN
Student in an Organized Health Care Education/Training Program
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-8683
DR. SHING-YU LIN M.D.
Hospitalist
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-6830
DR. GIOVANNI JULIANO RODRIGUEZ DO
Student in an Organized Health Care Education/Training Program
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-8659
BONA LEE DO
Student in an Organized Health Care Education/Training Program
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-8110
DR. MICHAEL EA DO
Student in an Organized Health Care Education/Training Program
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-6830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Jackson's NPI number?

The NPI number for Edward Jackson is 1639104029. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Edward Jackson located?

Edward Jackson practices at 7975 Lake Underhill Rd Ste 200, Orlando, FL 32822. The listed phone number is (407) 303-6830.

What is Edward Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edward Jackson enrolled in Medicare?

Yes. Edward Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Jackson reassigns Medicare benefits to Florida Hospital Medical Group Inc (Orlando, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Jackson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.